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. . _rr____"'_" _ __ "_' <br /> Building Department <br /> pate Fteceiaed <br /> Phone Co�tact for Permittin __ <br /> Qhnrner's Name Owner Phone Number � <br /> O�roner's Address � j� �,� . � , � ��j�( pwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � — - � �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY TO TiCE)DEMOLISH <br /> MfORK PROPOSED NEW CONSTR ADD/ALT [� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR L] COMM �� OTHER <br /> WPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �—" <br /> DEaCRIPTION OF WORK <br /> BUILDING SIZE 3Q FOOTAGEC� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF T07AL CONSTRUCTION <br /> QELECTRICAL $ �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ ��S � <br /> ..�l <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLO00 ZONE AREA QYES NO <br /> IBUILDER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> EIECTRICIAN COMPANY � <br /> SIGMATURE REGISTERED Y FEE CURRE� Y/N <br /> Address License# ��G� P <br /> PLUAIIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —1 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facffltles 81 dumpster,Site Work Permit for subdivisionsnarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />